Routine inspection·April 4, 2022

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection (mitigation). LPA was screened for symptoms of Covid-19 and granted entry. LPA met with Resident Care Director (RCD) Roanna Cruz and Executive Director (ED) Roxanne Psenecnik . LPA explained the reason for the visit. LPA and the Executive Director toured the facility. Facility is one building with 3 levels. The bottom floor is the memory care unit. LPA tested the delayed egress exit door in the memory care patio. The delayed egress exit door functions properly, the alarm was triggered/sounded and the door opened after 15 seconds .LPA observed a small fountain in the patio. The fountain is surrounded by a small hedge and the fountain water level is under 2 inches deep. No obstacles or hazards observed in the patio. LPA observed the resident rooms in memory care had the required furnishings. The first and second levels are for assisted living. LPA observed the medication carts are kept locked so residents do not have access to the medication cart. LPA observed the kitchen had a 2 day perishable and 7 day non-perishable food supply on hand. The kitchen was clean and organized. LPA observed the emergency water and food supply is kept secured in a storage room. LPA observed the resident rooms on the first and second level (memory care unit is below the first level) had the required the furnishings. LPA observed an evacuation chair in the Southwest stairwell. LPA observed all fire extinguishers are fully charged. The last fire drill was conducted on 3/28/2022. The automatic fire sprinkler system was tested on 2/21/2022 with no deficiencies. No obstacles or hazards observed inside of the facility. Facility has submitted a mitigation plan that is pending approval. LPA consulted with the Executive Director concerning continued mitigation requirements and reporting requirements. No deficiencies are being cited as a result of this visit. An exit interview was conducted and a copy of the report provided.